3SA-23292-43595

1 vaccination 11 coded responses 16 check-ins 11 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 984 / WA
Registered: 2021-02-28

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-28
Registered in v-safe
2021-02-28
Dose 1 — Moderna
2021-02-28
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia oral, Medical observation, Paraesthesia — Feeling: Fair · Site: Pain · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Right Facial tingling, R tongue numbness, tingling R neck & below ear · Healthcare visit (other): Ck by personnel at vac pop up site, including BP ck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Report sent to call center — day 0, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Facial nerve disorder, Medical counselling, Paraesthesia, Pre-existing disease — Feeling: Fair · Site: Pain · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): R face still tingling slightly · Healthcare visit (other): Ive emailed my reg doc because of concern about facial nerve. Have had shingles in same area years ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Fair · Site: Swelling · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Tingling right cheek

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia, Paraesthesia oral, Pre-existing disease — Feeling: Fair · Site: Swelling · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Tingling R side top of head, cheek, lips; Trigeminal nerve area · Healthcare visit (other): Seeking virology consult. Had shingles and Shingrx vac previously

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Flushing, Paraesthesia, Pyrexia — Feeling: Fair · Site: Swelling, Itching · Fever · Headache · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Tingling in R cheek, lip; itching top of head R side; felt flushed - not exactly feverish

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Flushing, Paraesthesia — Feeling: Fair · Site: Itching · Fever

Free text: Tingling around R eye; R cheek bone area; felt flushed 1x around 11:30 am

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Fair · Site: Itching · Fatigue or tiredness

Free text: Slight tingling cheek

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — day 7, dose 1
MedDRA: Paraesthesia, Tenderness — Feeling: Good

Free text: Cheek still feels tender as if tingling sensation will return at any moment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — day 14, dose 1
MedDRA: Oedema peripheral — Feeling: Good

Free text: Forgot to report slight swelling of probably lymph node in right arm pit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-28
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-04
Survey response — day 35, dose 1
MedDRA: Swelling — Feeling: Fair

Free text: I had problem w dose 1; including swelling and CDC said dont take dose #2 which I totally agree with.Can I take J& J vac ? Im very stressed by lack of knowledge.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-05-30
Survey response — 3 months, dose 1
MedDRA: Hot flush, Joint swelling, Pain — Feeling: Fair

Free text: Hot flashes which I havent had before. R knuckles swelling and morning pain. Again, have not had this before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-29
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-09-13
Call 1 — Left Voicemail
2021-09-15
Call successful
Participant prefers to complete VAERS report online
2022-03-01
Health check-in — 12 months, dose 1
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-28	Moderna

Call center

5 call center cases

5 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-28

Systemic reaction (other): Right Facial tingling, R tongue numbness, tingling R neck & below ear

Healthcare visit (other): Ck by personnel at vac pop up site, including BP ck

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): R face still tingling slightly

Healthcare visit (other): Ive emailed my reg doc because of concern about facial nerve. Have had shingles in same area years ago.

2021-03-02

Systemic reaction (other): Tingling right cheek

2021-03-03

Systemic reaction (other): Tingling R side top of head, cheek, lips; Trigeminal nerve area

Healthcare visit (other): Seeking virology consult. Had shingles and Shingrx vac previously

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Tingling in R cheek, lip; itching top of head R side; felt flushed - not exactly feverish

2021-03-05

Systemic reaction (other): Tingling around R eye; R cheek bone area; felt flushed 1x around 11:30 am

2021-03-06

Systemic reaction (other): Slight tingling cheek

Release 5 — day 7, dose 1

2021-03-07

Systemic reaction (other): Cheek still feels tender as if tingling sensation will return at any moment

Release 5 — day 14, dose 1

2021-03-14

Symptoms: Forgot to report slight swelling of probably lymph node in right arm pit

Release 6 — day 35, dose 1

2021-04-04

Symptoms: I had problem w dose 1; including swelling and CDC said dont take dose #2 which I totally agree with.Can I take J& J vac ? Im very stressed by lack of knowledge.

Release 8 — 3 months, dose 1

2021-05-30

Symptoms: Hot flashes which I havent had before. R knuckles swelling and morning pain. Again, have not had this before

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Facial nerve disorder	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Medical observation	✓	✓	✓
HCVO	Pre-existing disease	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Oedema peripheral	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Swelling	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Tenderness	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release